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Salway T, Kinitz DJ, Kia H, Ashley F, Giustini D, Tiwana A, Archibald R, Mallakzadeh A, Dromer E, Ferlatte O, Goodyear T, Abramovich A. A systematic review of the prevalence of lifetime experience with 'conversion' practices among sexual and gender minority populations. PLoS One 2023; 18:e0291768. [PMID: 37792717 PMCID: PMC10550144 DOI: 10.1371/journal.pone.0291768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Accepted: 08/25/2023] [Indexed: 10/06/2023] Open
Abstract
RATIONALE Conversion practices (CPs) refer to organized attempts to deter people from adopting or expressing non-heterosexual identities or gender identities that differ from their gender/sex assigned at birth. Numerous jurisdictions have contemplated or enacted legislative CP bans in recent years. Syntheses of CP prevalence are needed to inform further public health policy and action. OBJECTIVES To conduct a systematic review describing CP prevalence estimates internationally and exploring heterogeneity across country and socially relevant subgroups. METHODS We performed literature searches in eight databases (Medline, Embase, PsycInfo, Social Work Abstracts, CINAHL, Web of Science, LGBTQ+ Source, and Proquest Dissertations) and included studies from all jurisdictions, globally, conducted after 2000 with a sampling frame of sexual and gender minority (SGM) people, as well as studies of practitioners seeing SGM patients. We used the Hoy et al. risk of bias tool for prevalence studies and summarized distribution of estimates using median and range. RESULTS We identified fourteen articles that reported prevalence estimates among SGM populations, and two articles that reported prevalence estimates from studies of mental health practitioners. Prevalence estimates among SGM samples ranged 2%-34% (median: 8.5). Prevalence estimates were greater in studies conducted in the US (median: 13%), compared to Canada (median: 7%), and greater among transgender (median: 12%), compared to cisgender (median: 4%) subsamples. Prevalence estimates were greatest among people assigned male at birth, whether transgender (median: 10%) or cisgender (median: 8%), as compared to people assigned female at birth (medians: 5% among transgender participants, 3% among cisgender participants). Further differences were observed by race (medians: 8% among Indigenous and other racial minorities, 5% among white groups) but not by sexual orientation. CONCLUSIONS CPs remain prevalent, despite denouncements from professional bodies. Social inequities in CP prevalence signal the need for targeted efforts to protect transgender, Indigenous and racial minority, and assigned-male-at-birth subgroups.
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Affiliation(s)
- Travis Salway
- Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada
- Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada
- British Columbia Centre for Disease Control, Vancouver, British Columbia, Canada
| | - David J. Kinitz
- Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
| | - Hannah Kia
- School of Social Work, University of British Columbia, Vancouver, British Columbia, Canada
| | - Florence Ashley
- Faculty of Law & Joint Centre for Bioethics, University of Toronto, Toronto, Ontario, Canada
| | - Dean Giustini
- Biomedical Branch Library, University of British Columbia, Vancouver, British Columbia, Canada
| | - Amrit Tiwana
- Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada
| | - Reilla Archibald
- Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada
| | - Amirali Mallakzadeh
- Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada
| | - Elisabeth Dromer
- School of Psychology, University of Ottawa, Ottawa, Ontario, Canada
| | - Olivier Ferlatte
- École de santé publique, Université de Montréal, Montréal, Quebec, Canada
- Centre de Recherche en Santé Publique, Université de Montréal et CIUSSS du Centre-Sud-de-l’Île-de-Montréal, Montréal, Quebec, Canada
| | - Trevor Goodyear
- Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada
- School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada
| | - Alex Abramovich
- Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
- Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario, Canada
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Esteban C, Francia-Martínez M, Vázquez-Rivera M, Crespo F, Bruno-Ortiz T, Santiago-Ortiz AM, Martínez-Taboas A. Sexual orientation knowledge and attitudes and its association with therapy satisfaction among lesbian, gay, and bisexual + Hispanic Puerto Ricans. BMC Public Health 2023; 23:857. [PMID: 37170078 PMCID: PMC10173566 DOI: 10.1186/s12889-023-15811-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Accepted: 05/04/2023] [Indexed: 05/13/2023] Open
Abstract
This study aimed to examine the difference in therapy satisfaction between lesbian, gay, and bisexual + (LGB +) individuals and heterosexual individuals, and to identify the association between therapy satisfaction and the perception of knowledge and attitudes of their last therapist among the LGB + participants. Through an exploratory design with a comparative group, 125 LGB + and 75 heterosexual participants were recruited online by availability. Results indicate that the participants' sexual orientation has no significant relation on therapy satisfaction. However, there was a significant positive association between satisfaction with therapy and the LGB + participants' perception that their therapist demonstrated knowledge and positive attitudes. This research highlights the importance for continuous education and curriculum efforts on LGB + issues.
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Affiliation(s)
- Caleb Esteban
- Clinical Psychology Program, School of Behavioral and Brain Sciences, Ponce Health Sciences University, PO BOX 7004, 00732-7004, Ponce, Puerto Rico.
| | | | | | - Frances Crespo
- Instituto de Investigación y Desarrollo para Estudiantes Dotados, San Juan, Puerto Rico
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Williams ND, Winer B, Aparicio EM, Smith-Bynum MA, Boekeloo BO, Fish JN. Professional Expectations of Provider LGBTQ Competence: Where We Are and Where We Need to Go. JOURNAL OF GAY & LESBIAN MENTAL HEALTH 2022; 80:10.1080/19359705.2022.2146825. [PMID: 37200538 PMCID: PMC10187662 DOI: 10.1080/19359705.2022.2146825] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2021] [Accepted: 11/04/2022] [Indexed: 11/24/2022]
Abstract
Introduction Mental and behavioral health professional organizations use their governing documents to set expectations of provider competence in working with LGBTQ+ clients. Method The codes of ethics and training program accreditation guidelines of nine mental and behavioral health disciplines (n=16) were analyzed using template analysis. Results Coding resulted in fives themes: mission and values, direct practice, clinician education, culturally competent professional development, and advocacy. Expectations for provider competency vary greatly across disciplines. Conclusion Having a mental and behavioral health workforce that is uniformly competent in meeting the unique needs of LGBTQ populations is key for supporting the mental and behavioral health of LGBTQ persons.
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Affiliation(s)
- Natasha D. Williams
- Department of Family Science, School of Public Health, University of Maryland, College Park, MD
- University of Maryland Prevention Research Center
| | - Brennan Winer
- Department of Government and Politics, University of Maryland, College Park, MD
| | - Elizabeth M. Aparicio
- University of Maryland Prevention Research Center
- Department of Behavioral and Community Health, School of Public Health, University of Maryland, College Park, MD
| | - Mia A. Smith-Bynum
- Department of Family Science, School of Public Health, University of Maryland, College Park, MD
- University of Maryland Prevention Research Center
| | - Bradley O. Boekeloo
- University of Maryland Prevention Research Center
- Department of Behavioral and Community Health, School of Public Health, University of Maryland, College Park, MD
| | - Jessica N. Fish
- Department of Family Science, School of Public Health, University of Maryland, College Park, MD
- University of Maryland Prevention Research Center
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Williams ND, Winer B, Aparicio EM, Smith-Bynum MA, Boekeloo BO, Fish JN. Professional Expectations of Provider LGBTQ Competence: Where We Are and Where We Need to Go. JOURNAL OF GAY & LESBIAN MENTAL HEALTH 2022; 80:10.1080/19359705.2022.2146825. [PMID: 37200538 PMCID: PMC10187662 DOI: 10.1080/19359705.2022.2146825 10.1080/19359705.2022.2146825] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2021] [Accepted: 11/04/2022] [Indexed: 06/16/2024]
Abstract
INTRODUCTION Mental and behavioral health professional organizations use their governing documents to set expectations of provider competence in working with LGBTQ+ clients. METHOD The codes of ethics and training program accreditation guidelines of nine mental and behavioral health disciplines (n=16) were analyzed using template analysis. RESULTS Coding resulted in fives themes: mission and values, direct practice, clinician education, culturally competent professional development, and advocacy. Expectations for provider competency vary greatly across disciplines. CONCLUSION Having a mental and behavioral health workforce that is uniformly competent in meeting the unique needs of LGBTQ populations is key for supporting the mental and behavioral health of LGBTQ persons.
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Affiliation(s)
- Natasha D. Williams
- Department of Family Science, School of Public Health, University of Maryland, College Park, MD
- University of Maryland Prevention Research Center
| | - Brennan Winer
- Department of Government and Politics, University of Maryland, College Park, MD
| | - Elizabeth M. Aparicio
- University of Maryland Prevention Research Center
- Department of Behavioral and Community Health, School of Public Health, University of Maryland, College Park, MD
| | - Mia A. Smith-Bynum
- Department of Family Science, School of Public Health, University of Maryland, College Park, MD
- University of Maryland Prevention Research Center
| | - Bradley O. Boekeloo
- University of Maryland Prevention Research Center
- Department of Behavioral and Community Health, School of Public Health, University of Maryland, College Park, MD
| | - Jessica N. Fish
- Department of Family Science, School of Public Health, University of Maryland, College Park, MD
- University of Maryland Prevention Research Center
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“We Need to State it Overtly”: MFT’s Rationales for Labeling SOCE and GICE as Unethical in the Code of Ethic. CONTEMPORARY FAMILY THERAPY 2022. [DOI: 10.1007/s10591-022-09649-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Heiden-Rootes K, McGeorge CR, Salas J, Levine S. The effects of gender identity change efforts on Black, Latinx, and White transgender and gender nonbinary adults: Implications for ethical clinical practice. JOURNAL OF MARITAL AND FAMILY THERAPY 2022; 48:927-944. [PMID: 34866204 DOI: 10.1111/jmft.12575] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Revised: 10/11/2021] [Accepted: 11/16/2021] [Indexed: 06/13/2023]
Abstract
Gender identity change efforts (GICE) and sexual orientation change efforts (SOCE) continue to be practiced by mental health professionals and religious organizations. It is frequently sought out by families who are rejecting loved ones with marginalized sexual orientations and gender identities. This study explored the impact of religious and nonreligious GICE on the mental health of transgender and nonbinary adults through a secondary data analysis of the U.S. Transgender Survey. Results found that both nonreligious and religious GICE were associated with increased odds of suicidal ideation and attempts. Only nonreligious GICE was associated with severe psychological distress. Black individuals showed increased odds of binge alcohol consumption when exposed to nonreligious change efforts, while White individuals showed decreased odds with both nonreligious and religious GICE. This study supports ethical and legal bans on GICE.
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Affiliation(s)
- Katie Heiden-Rootes
- Department of Family and Community Medicine, Medical Family Therapy Program, Saint Louis University, St. Louis, Missouri, USA
| | - Christi R McGeorge
- Department of Human Development and Family Science, North Dakota State University, Fargo, North Dakota, USA
| | - Joanne Salas
- Research Division, Department of Family and Community Medicine, Saint Louis University, St. Louis, Missouri, USA
| | - Samantha Levine
- Medical Education, School of Medicine, Saint Louis University, St. Louis, Missouri, USA
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McGeorge CR, Coburn KO, Walsdorf AA. Christian Mainline Protestant Pastors' Beliefs About the Practice of Conversion Therapy: Reflections for Family Therapists. JOURNAL OF MARITAL AND FAMILY THERAPY 2021; 47:698-712. [PMID: 32761630 DOI: 10.1111/jmft.12447] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Efforts to change the sexual orientation of lesbian, gay, and bisexual (LGB) individuals to heterosexual are referred to as conversion therapy. Given the religious groundings that support the practice of conversion therapy, we sought to explore the beliefs of Christian religious leaders about this practice and what they want family therapists to know about the practice of conversion therapy. Twenty-one pastors from diverse Mainline Christian Protestant traditions were interviewed. Queer theory-informed thematic analysis revealed four themes that reflect the participants' perspectives on conversion therapy: (a) Conversion Therapy Is an Abomination, (b) Conversion Therapy Is Similar to Other Abusive Practices, (c) Conversion Therapy Represents A Misuse of Religion, and (d) Ethical Concerns About Therapists Who Practice Conversion Therapy. Implications of this study include a need for self-of-the-therapist work to address religious biases and heteronormative assumptions in order to examine beliefs that support practicing conversion therapy.
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8
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Przeworski A, Peterson E, Piedra A. A systematic review of the efficacy, harmful effects, and ethical issues related to sexual orientation change efforts. CLINICAL PSYCHOLOGY-SCIENCE AND PRACTICE 2021. [DOI: 10.1111/cpsp.12377] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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9
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Williams ND, Fish JN. The availability of LGBT-specific mental health and substance abuse treatment in the United States. Health Serv Res 2020; 55:932-943. [PMID: 32970327 DOI: 10.1111/1475-6773.13559] [Citation(s) in RCA: 47] [Impact Index Per Article: 11.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Abstract
OBJECTIVE To examine the availability and facility-level predictors of LGBT-specific mental health and substance abuse treatment in the United States. DATA SOURCES/STUDY SETTING 2016 National Survey of Substance Abuse Treatment Services, 2016 National Mental Health Service Survey, and 2015-2016 Gallup Daily tracking survey. STUDY DESIGN Logistic regression models and average marginal effects were used to identify characteristics of facilities that offer LGBT-specific programs. Linear regression models were used to estimate the association between the state-level proportion of LGBT people and the proportion of facilities that offer LGBT-specific programs. DATA COLLECTION/EXTRACTION METHODS Secondary data analysis. Cases with missing values for any predictor were excluded. PRINCIPLE FINDINGS 12.6 percent of mental health and 17.6 percent of substance abuse facilities reported LGBT-specific programs. Several facility characteristics were statistically associated with the likelihood of mental health and substance abuse facilities providing LGBT-specific programs, including offering outpatient or residential treatment, private ownership, religious affiliation, and payment type. The proportion of LGBT adults living within each state was statistically associated with state-level density of LGBT-specific mental health programs, but not substance abuse programs. CONCLUSIONS Findings suggest limited availability of culturally competent mental health and substance abuse treatment, despite well-documented need.
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Affiliation(s)
- Natasha D Williams
- Department of Family Science, School of Public Health, The University of Maryland, College Park, Maryland
| | - Jessica N Fish
- Department of Family Science, School of Public Health, The University of Maryland, College Park, Maryland
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10
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Quinn GP, Alpert AB, Sutter M, Schabath MB. What Oncologists Should Know About Treating Sexual and Gender Minority Patients With Cancer. JCO Oncol Pract 2020; 16:309-316. [PMCID: PMC7291539 DOI: 10.1200/op.20.00036] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/06/2020] [Indexed: 07/28/2023] Open
Abstract
Sexual and gender minority (SGM) individuals encompass a broad spectrum of sexual orientations and gender identities. Although SGM is a research term, this population is often known as lesbian, gay, bisexual, transgender, queer (LGBTQ). Typically, LGB refers to sexual orientation, T refers to gender identity, and Q may refer to either. Although each group is distinct, they share the common bond of experiencing health disparities that may be caused, in part, by stigma and discrimination, as well as by the oncology provider’s lack of knowledge and, therefore, lack of comfort in treating this population. One challenge in improving the quality of care for SGM patients with cancer is the lack of collection of sexual orientation and gender identity (SOGI) data in the medical record. Furthermore, national studies suggest that many oncologists are unsure of what to do with this information, even when it is collected, and some are uncertain as to why they would need to know the SOGI of their patients. This clinical review offers insight into the health disparities experienced by SGM individuals and strategies for improving the clinical encounter and creating a welcoming environment.
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Affiliation(s)
- Gwendolyn P. Quinn
- Departments of OB-GYN and Department of Population Health, NYU Grossman School of Medicine, New York, NY
- Perlmutter Cancer Center, New York University, New York, NY
| | - Ash B. Alpert
- Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY
| | - Megan Sutter
- Departments of OB-GYN and Department of Population Health, NYU Grossman School of Medicine, New York, NY
| | - Matthew B. Schabath
- Department of Cancer Epidemiology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL
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Okrey Anderson S, McGuire JK. Personal Faith and Professional Ethics: Best Practice with the Families of Sexual and Gender Minority Youths. SOCIAL WORK 2019; 64:365-372. [PMID: 31545365 DOI: 10.1093/sw/swz030] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/14/2018] [Revised: 02/26/2019] [Accepted: 03/05/2019] [Indexed: 06/10/2023]
Abstract
Religious mental health practitioners who hold traditional views of gender and sexuality may face moral and ethical dilemmas when working with sexual and gender minority (SGM) clients. Typical responses to this dilemma include selective positioning, values-based referrals, and attempted objectivity. Grounded in social work ethics and values, this article examines the evidence base, viability, and repercussions of these approaches. This article demonstrates the importance of cultural competence and affirmative therapeutic practices for religious mental health practitioners, whether or not they expect to work with gender and sexual minority clients or their families. In addition, the author tackles the difficult issue of providing ethical, evidence-based therapeutic services for religiously conservative parents of SGM children and adolescents. SGM people exist in every community, in every faith, and in every kind of family. The ethical treatment of SGM clients is relevant to all mental health practitioners, regardless of personal values or the type of practice they maintain.
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Essayli JH, Murakami JM, Latner JD. Perceived Sexual Orientation of Men and Women with Eating Disorders and Obesity. JOURNAL OF HOMOSEXUALITY 2018; 66:735-745. [PMID: 29863964 DOI: 10.1080/00918369.2018.1484228] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
The present study explores the perceived sexual orientation of hypothetical men and women with various eating disorders and obesity. Undergraduates were randomly provided with one vignette describing a male or female with anorexia nervosa (AN), bulimia nervosa (BN), binge-eating disorder, or obesity and were asked about the target's likely sexual orientation. Significant differences emerged between male and female targets with AN and BN on the forced-choice question, with a greater percentage of participants indicating that the male targets were probably non-heterosexual. On continuous items, participants rated the female targets as significantly more likely to be heterosexual and significantly less likely to be homosexual than male targets. The general public may be more likely to perceive men with eating disorders as gay or bisexual relative to females with eating disorders. Perceived sexual orientation might be an important factor to consider when exploring the potentially unique perspectives of men with eating disorders.
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Affiliation(s)
- Jamal H Essayli
- a Department of Psychology , University of Hawaii at Manoa , Honolulu , Hawaii , USA
- b Department of Pediatrics, Division of Adolescent Medicine , Penn State College of Medicine , Hershey , Pennsylvania , USA
| | - Jessica M Murakami
- a Department of Psychology , University of Hawaii at Manoa , Honolulu , Hawaii , USA
| | - Janet D Latner
- a Department of Psychology , University of Hawaii at Manoa , Honolulu , Hawaii , USA
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Allan R, Johnson SM. Conceptual and Application Issues: Emotionally Focused Therapy With Gay Male Couples. JOURNAL OF COUPLE & RELATIONSHIP THERAPY 2017. [DOI: 10.1080/15332691.2016.1238800] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Robert Allan
- Counseling Program, School of Education and Human Development, University of Colorado Denver, Denver, Colorado, USA
| | - Susan M. Johnson
- The Ottawa Couple and Family Institute, University of Ottawa, Ottawa, Ontario, Canada
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14
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Hartwell EE, Serovich JM, Reed SJ, Boisvert D, Falbo T. A Systematic Review of Gay, Lesbian, and Bisexual Research Samples in Couple and Family Therapy Journals. JOURNAL OF MARITAL AND FAMILY THERAPY 2017; 43:482-501. [PMID: 28295436 DOI: 10.1111/jmft.12220] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The purpose of this study is to review samples from research on gay, lesbian, and bisexual (GLB) issues and to evaluate the suitability of this body of research to support affirmative and evidence-based practice with GLB clients. The authors systematically reviewed the sampling methodology and sample composition of GLB-related research. All original, quantitative articles focusing on GLB issues published in couple and family therapy (CFT)-related journals since 1975 were coded (n = 153). Results suggest that within the GLB literature base there is some evidence of heterocentrism as well as neglect of issues of class, race, and gender. Suggestions to improve the diversity and representativeness of samples-and, thus, clinical implications-of GLB-related research in CFT literature are provided.
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McGeorge CR, Carlson TS, Maier CA. Are we there yet? Faculty Members' Beliefs and Teaching Practices Related to the Ethical Treatment of Lesbian, Gay, and Bisexual Clients. JOURNAL OF MARITAL AND FAMILY THERAPY 2017; 43:322-337. [PMID: 27747898 DOI: 10.1111/jmft.12197] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The purpose of this study was to explore (a) faculty members' beliefs about the ethics of reparative therapy and referring lesbian, gay, and bisexual (LGB) clients, (b) course content related to reparative therapy and referral of LGB clients, and (c) positions taken by programs associated with reparative therapy and referral of LGB clients. A total of 117 faculty members from accredited family therapy programs completed an online survey for this study. While the vast majority of faculty members reported that reparative therapy is unethical, there was less agreement related to the ethics of referring LGB clients, which may highlight the need for clearer ethical guidelines to regulate this potentially harmful practice. Implications for clinical training and future research are discussed.
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16
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Shi Q, Doud S. An Examination of School Counselors’ Competency Working with Lesbian, Gay and Bisexual and Transgender (LGBT) Students. JOURNAL OF LGBTQ ISSUES IN COUNSELING 2017. [DOI: 10.1080/15538605.2017.1273165] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Qi Shi
- Education Specialties Department, Loyola University Maryland, Timonium, Maryland, USA
| | - Sylvia Doud
- Education Specialties Department, Loyola University Maryland, Timonium, Maryland, USA
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Abstract
Lesbian, gay and bisexual people continue to suffer minority stress around the world, but particularly in Africa, the Middle East and Eastern Europe. This anti-homosexual prejudice can enter into the therapist-client relationship and seriously damage the outcome of psychotherapy, particularly in instances where therapists regard their clients' sexuality as contributing to their psychological difficulties. This paper takes an historical perspective to research on the attitudes of a range of professionals who provide talking therapies or other types of psychological support to their clients who are lesbian, gay or bisexual. The nature and origins of prejudice, its effects on LGB clients, and how it might best be addressed are considered. Challenging the ethics and evidence base for treatments that purport to change sexual orientation, as well as asking heterosexual therapists to reflect on their own heteronormative assumptions, are crucial to effecting change and ensuring LGB people are treated equally to their heterosexual counterparts.
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Affiliation(s)
- Michael King
- a Division of Psychiatry, Faculty of Brain Sciences , University College London , UK
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Piercy FP. On maps, shapeshifting, and my syllabus: family therapies today. JOURNAL OF MARITAL AND FAMILY THERAPY 2015; 41:1-4. [PMID: 25615812 DOI: 10.1111/jmft.12108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Affiliation(s)
- Fred P Piercy
- Marriage and Family Therapy Doctoral Program, Department of Human Development, Virginia Tech, Blacksburg, VA 24060.
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The Intersection of Spirituality, Religion, Sexual Orientation, and Gender Identity in Family Therapy Training: An Exploration of Students’ Beliefs and Practices. CONTEMPORARY FAMILY THERAPY 2014. [DOI: 10.1007/s10591-014-9312-8] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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